Provider Demographics
NPI:1477595486
Name:SONNIER, KAYLA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:
Last Name:SONNIER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT MARTINVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70582-4118
Mailing Address - Country:US
Mailing Address - Phone:337-342-2641
Mailing Address - Fax:337-342-2813
Practice Address - Street 1:407 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SAINT MARTINVILLE
Practice Address - State:LA
Practice Address - Zip Code:70582-4118
Practice Address - Country:US
Practice Address - Phone:337-342-2641
Practice Address - Fax:337-342-2813
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPO4425363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1463426Medicaid
LAQ26844Medicare UPIN
LA4H185D486Medicare ID - Type Unspecified